| NPI | 1376628636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 09173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 133665) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-12-14 |